Categories: 未分类精神障碍

A Pain Specialist’s Tips for Headaches痛症专家关于头痛的提示

Dr. James C. Watson offered his tips to pick up “can’t miss” headaches. Migraine is the most common primary headache disorder that disrupts someone’s life. Cluster headaches — which tend to occur in a headband pattern — are more common. But they tend to be mild-to-moderate. Primary headache syndrome including migraines, tension, and cluster headaches accounts for more than 90% of headaches. They are not life-threatening, recurrent, with no known cause. Secondary headache syndrome can be caused by dangerous conditions like hemorrhage, tumor, and meningitis. Headache red flags are identified by the “2SNOOP4” mnemonic: Systemic symptoms; Secondary risk factor; Neurologic signs and symptoms; Onset (e.g., “thunderclap” headache); Older age (>50); Prior headaches; Positional headache, e.g., cervicogenic; Papilledema; Precipitants (e.g., valsalva, cough, sexual activity). It is important to consider temporal arteritis in the elderly. A new headache, significant and limiting, or with significant change could be a sign of a secondary headache syndrome such as a brain tumor. A patient with severe and episodic headaches is most likely migraine. Migraines may last 4-72 hours. A migraine may or may not be accompanied by aura; aura can even occur without migraine. If it does occur, aura should go away within an hour. Migraines can cause new phenomenon to occur; they’re not like a stroke that “takes something away.” There are special kind of migraines. Medication overuse can increase headache frequency such that it converts from episodic to chronic migraine. Source: http://www.medpagetoday.com/

詹姆斯·沃森大夫提出了关于鉴别“不可错过”的头痛的提示。偏头痛是扰乱某人生活的最常见的原发性头痛。集群性头痛,往往呈头箍式,更常见,但往往是轻度至中度。原发性头痛综合征包括偏头痛,紧张性和集群性头痛占头痛的90%以上。它们没有生命危险,复发性,原因不明。继发性头痛综合征可由诸如脑溢血,肿瘤和脑膜炎等危险状况引起。危险的头痛可由下列因素帮助识别:系统性症状;继发性危险因素;神经系统体征和症状;发作(例如,“雷霹”性头痛);年龄(> 50);先前头痛史;位置性头痛,例如,颈部所致;视乳头水肿;诱发因素(例如,憋气,咳嗽,性活动等)。老年人重要的是要考虑到颞动脉炎。新的头痛,显着和限制性的,或变化显着可能是继发性头痛综合征如脑肿瘤的征兆。患有严重和发作性头痛的患者最大可能性是偏头痛。偏头痛可持续4-72小时。偏头痛可伴有或不伴有光环先兆; 甚至可发生光环先兆而无偏头痛。如果发生光环先兆,应该在一小时内消失。偏头痛可引起新现象的出现; 而不像中风一样“失去什么”。有些偏头痛特殊。用药过度可增加头痛的频率,使其从发作性转变为慢性偏头痛。来源:http://www.medpagetoday.com/

hyangiu

近期博文

4:3间歇性禁食减肥效果优于每日热量限制

一项美国随机临床试验发现,对于…

5 天 ago

新型降糖药对老年二型糖尿病患者心血管病的效果比较

一项丹麦全国性队列研究提供的真…

1 周 ago

非手术与非介入疗法对腰痛的疗效

基于安慰剂对照的随机试验,一项…

2 周 ago

服用他汀类药物与肝癌及肝病进展风险降低有关

一项美国队列研究提示,服用他汀…

3 周 ago

颈动脉斑块的临床意义及其与年龄和性别的关系

一项美国队列研究提示,在没有临…

4 周 ago

用植物油取代黄油可提高生存率

一项基于美国人群的前瞻性队列研…

4 周 ago

This website uses cookies.